<PAGE>

                                                                     Exhibit 4.6

                    [Form of Class A Common Stock Warrant]

         THESE SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF
         1933 OR ANY STATE SECURITIES LAWS. THEY MAY NOT BE SOLD OR OFFERED FOR
         SALE IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT AS TO THE
         SECURITIES UNDER SAID ACT AND ANY APPLICABLE STATE SECURITIES LAWS OR
         EXEMPTION THEREFROM.


                           AMERICASDOCTOR.COM, INC.

                         Class A Common Stock Warrant

                                                                          [Date]

             No.


             AMERICASDOCTOR.COM, INC., a Delaware corporation (herein, together
with its successors and assigns, the "Company"), for value received, hereby
certifies that         , or registered assigns, is entitled to purchase from the
Company, at any time or from time to time prior to 5:00 p.m., Eastern time, on
       ,           duly authorized, validly issued, fully paid and nonassessable
shares of Class A Common Stock, par value $.001 per share, as constituted on the
date hereof (the "Class A Common Stock"), of the Company at a purchase price of
$ per share, all subject to the terms, conditions and adjustments set forth
below in this Warrant.

             1.   Exercise of Warrant.
                  -------------------

             1.1 Manner of Exercise. This Warrant may be exercised by the
                 ------------------
holder hereof, in whole or in part, during normal business hours on any Business
Day by surrender of this Warrant to the Company at the office of the Company
maintained pursuant to Section 7.2(a), accompanied by a subscription in
substantially the form annexed hereto duly executed by such holder and (i) by
payment in cash or by certified or official bank check payable to the order of
the Company or by wire transfer in the amount obtained by multiplying (a) the
number of shares of Class A Common Stock (without giving effect to any
adjustment therein) designated in such subscription by (b) the then applicable
Warrant Price (as defined in Section 2.1(c)), (ii) by instructing the Company to
withhold and cancel a number of shares of Class A Common Stock then issuable
upon exercise of this Warrant with respect to which the excess of the Market
Price of the shares of Class A Common Stock over the Warrant Price for such
canceled shares is at least equal to the Warrant Price for the shares being
purchased, or (iii) by any combination of the foregoing, whereupon such holder
shall be entitled to receive the number of duly authorized, validly issued,
fully paid and nonassessable shares of Class A Common Stock (or Other
Securities) determined as provided in Section 2.

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          1.2   When Exercise Effective. Each exercise of this Warrant shall be
                -----------------------
deemed to have been effected immediately prior to the close of business on the
Business Day on which this Warrant shall have been surrendered to the Company as
provided in Section 1.1, and at such time the Person or Persons in whose name or
names any certificate or certificates for shares of Class A Common Stock (or
Other Securities) shall be issuable upon such exercise as provided in Section
1.3 shall be deemed to have become the holder or holders of record thereof.

          1.3   Delivery of Stock Certificates, etc. As soon as practicable
                -----------------------------------
after the exercise of this Warrant, in whole or in part, and in any event within
five (5) Business Days thereafter, the Company at its expense (including the
payment by it of any applicable issuance taxes) will cause to be issued in the
name of and delivered to the holder hereof or, subject to Section 6, as such
holder (upon payment by such holder of any applicable transfer taxes) may
direct,

          (a)   a certificate or certificates for the number of duly authorized,
     validly issued, fully paid and nonassessable shares of Class A Common Stock
     (or Other Securities) to which such holder shall be entitled upon such
     exercise plus, in lieu of any fractional share to which such holder would
     otherwise be entitled, cash in an amount equal to the same fraction of the
     Market Price per share on the Business Day next preceding the date of such
     exercise, and

          (b)   in case such exercise is in part only, a new Warrant or Warrants
     of like tenor, calling in the aggregate on the face or faces thereof for
     issuance of the number of shares of Class A Common Stock equal (without
     giving effect to any adjustment therein) to the number of such shares
     called for on the face of this Warrant minus the number of such shares so
     designated by such holder upon such exercise as provided in Section 1.1.

          2.    Adjustments to Warrant Price for Diluting Issues:
                ------------------------------------------------

          2.1   Special Definitions.  For purposes of this Section 2, the
                -------------------
following definitions shall apply:

          (a)   "Dilution Price" initially shall mean $       per share, which
     shall be adjusted from time to time as provided in this Section 2 and, as
     so adjusted, shall remain in effect until further adjustment thereof is
     required by this Section 2.

          (b)   "Original Issue Date" shall mean the date hereof.

          (c)   "Warrant Price" initially shall mean $        per share, which
     shall be adjusted and readjusted from time to time as provided in this
     Section 2, and, as so adjusted or readjusted, shall remain in effect until
     further adjustment or readjustment thereof is required by this Section 2.

          2.2   Number of Shares; Warrant Price. The number of shares of
                -------------------------------
Class A Common Stock that the holder of this Warrant shall be entitled to
receive upon exercise hereof shall be determined by multiplying the number of
shares of Class A Common Stock that would otherwise (but for the provisions of
this Section 2) be issuable upon such exercise by a fraction of which the
numerator is $     and the denominator is the Dilution Price in effect on the
date of such exercise.

                                      -2-
<PAGE>

          2.3    Adjustment for Dividends, Distributions, Subdivisions,
                 ------------------------------------------------------
Combinations or Consolidation of Common Stock.
---------------------------------------------

          2.3.1  Stock Dividends, Distributions or Subdivisions. In the
                 ----------------------------------------------
event the Company at any time, or from time to time, after the Original Issue
Date shall declare or pay any dividend or make any other distribution on the
Common Stock payable in Common Stock, or effect a subdivision of the outstanding
shares of Common Stock (by reclassification or otherwise than by payment of a
dividend in Common Stock), then and in any such event, the Warrant Price and the
Dilution Price in effect immediately prior to such stock dividend, stock
distribution or subdivision shall, concurrently with the effectiveness of such
stock dividend, stock distribution or subdivision, be proportionately decreased,
(a) in the case of any such dividend or distribution, immediately after the
close of business on the record date for the determination of holders of any
class of securities entitled to receive such dividend or distribution, or (b) in
the case of any such subdivision, at the close of business on the date
immediately prior to the date upon which such corporate action becomes
effective.

          If such record date shall have been fixed and such dividend shall not
have been fully paid on the date fixed therefor, any adjustment previously made
in the Warrant Price and the Dilution Price, which became effective on such
record date, shall be canceled as of the close of business on such record date,
and thereafter the Warrant Price and the Dilution Price shall be adjusted
pursuant to this Section 2.3 as of the time of actual payment of such dividend.

          2.3.2  Combinations or Consolidations. In the event the
                 ------------------------------
outstanding shares of Common Stock shall be combined or consolidated, by
reclassification or otherwise, into a lesser number of shares of Common Stock,
the Warrant Price and the Dilution Price in effect immediately prior to such
combination or consolidation shall, concurrently with the effectiveness of such
combination or consolidation, be proportionately adjusted.

          2.4    Adjustment for Merger or Reorganization, etc. Subject to
                 --------------------------------------------
the provisions of Section 13, in case of any consolidation or merger of the
Company with or into another Company or the conveyance of all, or substantially
all, of the assets of the Company to another corporation, this Warrant shall
thereafter be exercisable to purchase the number of shares of stock or other
securities or property to which a holder of the number of shares of Class A
Common Stock of the Company deliverable upon exercise of this Warrant would have
been entitled upon such consolidation, merger or conveyance; and, in any such
case, appropriate adjustment (as determined by the Board of Directors) shall be
made in the application of the provisions herein set forth with respect to the
rights and interest thereafter of the holder of this Warrant to the end that the
provisions set forth in Section 2 (including provisions with respect to changes
in and other adjustments of the Warrant Price and the Dilution Price) shall
thereafter be applicable, as nearly as reasonably may be, in relation to any
shares of stock or other property thereafter deliverable upon the exercise of
this Warrant.

          3.   No Dilution or Impairment. The Company (a) will not permit
               -------------------------
the par value of any shares of stock receivable upon the exercise of any Warrant
to exceed the amount payable therefor upon such exercise, (b) will take all such
action as may be necessary or appropriate in order that the Company may validly
and legally issue fully paid and nonassessable shares of stock on the exercise
of the Warrants from time to time outstanding, and (c) will not take any action
which results in any adjustment of the Warrant Price if the total number of
shares of Class A Common Stock (or

                                      -3-
<PAGE>

Other Securities) issuable after such action, upon the exercise of all of the
Warrants, would exceed the total number of shares of Class A Common Stock (or
Other Securities) then authorized by the certificate of incorporation and
available for the purpose of issuance upon such exercise.

          4.   Report as to Adjustments. In each case of any adjustment or
               ------------------------
readjustment in the shares of Class A Common Stock (or Other Securities)
issuable upon the exercise or conversion of any Warrant, the Company at its
expense will promptly compute such adjustment or readjustment in accordance with
the terms of the Warrants and prepare a report setting forth such adjustment or
readjustment and showing in detail the method of calculation thereof and the
facts upon which such adjustment or readjustment is based, including a statement
of (a) the number of shares of Common Stock outstanding or deemed to be
outstanding and (b) the Warrant Price and Dilution Price in effect immediately
prior to such issuance or sale and as adjusted and readjusted (if required by
Section 2) on account thereof. The Company will forthwith (and in any event not
later than 20 days following the occurrence of the event requiring such
adjustment) furnish a copy of each such report to each holder of a Warrant, and
will, upon the written request at any time of any holder of a Warrant, furnish
to such holder a like report setting forth the Warrant Price and Dilution Price
at the time in effect and showing how it was calculated. The Company also will
keep copies of all such reports at its principal office and at the office or
agency required to be maintained by it pursuant to Section 7.2(a), and will
cause the same to be available for inspection at each such office during normal
business hours by any holder of a Warrant.

          5.   Restrictions on Transfer.
               ------------------------

          5.1  Restrictive Legends. Except as otherwise permitted by this
               -------------------
Section 5, each Warrant originally issued, each Warrant issued upon direct or
indirect transfer or in substitution for any Warrant pursuant to Section 7, each
certificate for Class A Common Stock (or Other Securities) issued upon the
exercise of any Warrant, and each certificate issued upon the direct or indirect
transfer of any such Class A Common Stock (or Other Securities), shall be
stamped or otherwise imprinted with legends in substantially the following form:

     THESE SECURITIES HAVE BEEN ACQUIRED PURSUANT TO A TRANSACTION
     EFFECTED IN RELIANCE UPON AN EXEMPTION FROM THE SECURITIES ACT OF
     1933, AS AMENDED (THE "ACT"), AND HAVE NOT BEEN THE SUBJECT OF A
     REGISTRATION STATEMENT UNDER THE ACT OR ANY STATE OR OTHER
     SECURITIES LAWS. THEY MAY NOT BE SOLD OR OTHERWISE TRANSFERRED IN
     THE ABSENCE OF REGISTRATION OR AN EXEMPTION THEREFROM, AND, IF
     APPLICABLE, IN ACCORDANCE WITH THE PROVISIONS OF REGULATION S
     UNDER THE ACT, AND THE COMPANY MAY REQUIRE AN OPINION OF LEGAL
     COUNSEL SATISFACTORY TO THE COMPANY THAT ANY PROPOSED TRANSFER OF
     THESE SECURITIES COMPLIES WITH SUCH SECURITIES LAWS BEFORE SUCH A
     TRANSFER MAY BE EFFECTED.


     THE SECURITIES REPRESENTED HEREBY ARE SUBJECT TO THE TERMS AND
     CONDITIONS OF AN AGREEMENT THAT RESTRICTS THE TRANSFER OF SUCH
     SECURITIES (AND THE SECURITIES ISSUABLE UPON EXERCISE HEREOF) FOR
     180 DAYS FOLLOWING THE EFFECTIVE DATE OF A REGISTRATION STATEMENT
     FILED UNDER THE ACT OR ANY

                                      -4-
<PAGE>

     SUCCESSOR THERETO OR ANY SIMILAR RULE OR LAW OR ANY OTHER
     UNDERWRITTEN SALE OF SECURITIES BY THE COMPANY, AND RESTRICTS THE
     TRANSFER OF SUCH SECURITIES TO TRANSFEREES WHO AGREE TO BE BOUND
     BY THE TERMS AND CONDITIONS OF SUCH AGREEMENT. THIS AGREEMENT IS
     SET FORTH IN THE SUBSCRIPTION AGREEMENT FOR THESE SECURITIES, A
     COPY OF WHICH IS AVAILABLE UPON REQUEST OF THE COMPANY. ANY SALE
     OR TRANSFER NOT IN COMPLIANCE HEREWITH WILL BE VOID.


          5.2  Notice of Proposed Transfer; Opinions of Counsel. Prior to any
               ------------------------------------------------
transfer of any Restricted Securities which are not registered under an
effective registration statement under the Securities Act, the holder thereof
will give written notice to the Company of such holder's intention to effect
such transfer and to comply in all other respects with this Section 5.2. Each
such notice shall (a) describe the manner and circumstances of the proposed
transfer in sufficient detail to enable counsel to render the opinion referred
to below, and (b) designate counsel for the holder giving such notice, which
counsel shall be reasonably satisfactory to the Company. The holder giving such
notice will submit a copy thereof to the counsel designated in such notice. The
following provisions shall then apply:

               (1) if in the written opinion of such counsel for the holder,
          obtained at the holder's sole cost and expense and a copy of which
          shall be delivered to the Company and shall be reasonably satisfactory
          in form, scope and substance to the Company, the proposed transfer may
          be effected without registration of such Restricted Securities under
          the Securities Act or applicable state securities laws, such holder
          shall thereupon be entitled to transfer such Restricted Securities in
          accordance with the terms of the notice delivered by such holder to
          the Company. Each Restricted Security or certificate, if any, issued
          upon or in connection with such transfer shall bear the appropriate
          restrictive legends set forth in Section 5.1 unless, in the opinion of
          such counsel, the first such legend is no longer required to insure
          compliance with the Securities Act and applicable state securities
          laws; and

               (2) if the opinion of such counsel rendered pursuant to the
          foregoing subdivision (1) is not to the effect that the proposed
          transfer may legally be effected without registration of such
          Restricted Securities under the Securities Act or applicable state
          securities laws (such opinion to state the basis of the legal
          conclusions reached therein), such holder shall not be entitled to
          transfer such Restricted Securities (other than a transfer pursuant to
          Rule 144, Rule 144A or any comparable rule under the Securities Act)
          until receipt by the Company of a further notice and a further opinion
          of counsel for such holder to the effect stated in subdivision (1)
          above or until registration of such Restricted Securities under the
          Securities Act and applicable state securities laws has become
          effective.

          5.3  Termination of Restrictions. The restrictions imposed by this
               ---------------------------
Section 5 upon the transferability of Restricted Securities shall cease and
terminate, with respect to the restrictions related to the Securities Act, as to
any particular Restricted Securities when, in the opinion of counsel for the
Company, such restrictions are no longer required in order to ensure compliance
with the Securities Act. Whenever such restrictions shall terminate as to any
Restricted Securities, the

                                      -5-
<PAGE>

holder thereof shall be entitled to receive from the Company, without expense
(other than transfer taxes, if any), new securities of like tenor not bearing
the applicable legend set forth in Section 5.1.

          6.   Reservation of Stock, etc. The Company will at all times reserve
               --------------------------
and keep available, solely for issuance and delivery upon the exercise of the
Warrants, the number of shares of Class A Common Stock (or other securities)
from time to time issuable upon the exercise of all Warrants at the time
outstanding. All such securities shall be duly authorized and, when issued upon
such exercise, shall be validly issued and, in the case of shares, fully paid
and nonassessable with no liability on the part of the holders thereof.

          7.   Ownership Transfer and Substitution of Warrants.
               -----------------------------------------------

          7.1  Ownership of Warrants. The Company may treat the Person in whose
               ---------------------
name any Warrant is registered on the register kept at the principal office of
the Company as the owner and holder thereof for all purposes, notwithstanding
any notice to the contrary, except that, if and when any Warrant is properly
assigned in blank, the Company may (but shall not be obligated to) treat the
bearer thereof as the owner of such Warrant for all purposes, notwithstanding
any notice to the contrary. Subject to Section 5, a Warrant, if properly
assigned, may be exercised by a new holder without first having a new Warrant
issued.

          7.2  Office; Transfer and Exchange of Warrants. (a) The Company will
               -----------------------------------------
maintain its principal office in Gurnee, Illinois or at such other location as
it designates in a written notice delivered to each registered holder of a
Warrant prior to any change of such location, and all notices, presentations and
demands in respect of this Warrant may be made upon it at such location. The
Company may designate from time to time by notice to the registered holder of
this Warrant an office or agency of the Company where such notices,
presentations and demands in respect of this Warrant may be made in lieu of the
Company's principal office.

          (b)  Upon the surrender of any Warrant, properly endorsed, for
registration of transfer or for exchange at the principal office of the Company
or the office of the Company maintained pursuant to Section 7.2(a), the Company
at its expense will (subject to compliance with Section 5, if applicable)
execute and deliver to or upon the order of the holder thereof a new Warrant or
Warrants of like tenor, in the name of such holder or as such holder (upon
payment by such holder of any applicable transfer taxes) may direct, calling in
the aggregate on the face or faces thereof for the number of shares of Common
Stock called for on the face or faces of the Warrant or Warrants so surrendered.

          7.3  Replacement of Warrants. Upon receipt of evidence reasonably
               -----------------------
satisfactory to the Company of the loss, theft, destruction or mutilation of any
Warrant (which may be a written statement as to such loss, theft, destruction or
mutilation) and (a) in the case of such loss, theft or destruction of any
Warrant, upon delivery of indemnity reasonably satisfactory to the Company in
form and amount, or (b) in the case of any such mutilation, upon surrender of
such Warrant for cancellation at the office of the Company maintained pursuant
to Section 7.2(a) or the principal office of the Company, the Company at its
expense will execute and deliver, in lieu thereof, a new Warrant of like tenor.

          8.   Definitions.  As used herein, unless the context otherwise
               -----------
requires, the following terms have the following respective meanings:

                                      -6-
<PAGE>

          "Business Day" shall mean any day other than a Saturday, Sunday or any
           ------------
other day on which U.S. Federal Reserve member banks are not open for business
in Chicago, Illinois.

          "Commission" shall mean the Securities and Exchange Commission or any
           ----------
other Federal agency at the time administering the Securities Act.

          "Common Stock" shall mean, collectively, the Class A Common Stock and
           ------------
the Class B Common Stock, $.001 par value per share, of the Company and any
stock into which such Common Stock shall have been changed or any stock
resulting from any reclassification of such Common Stock.

          "Company" shall have the meaning specified in the opening paragraphs
           -------
of this Warrant, including any corporation that shall succeed to or assume the
obligations of the Company hereunder in compliance with Section 2.5.

          "Dilution Price" shall have the meaning specified in Section 2.1 (a).
           --------------

          "Exchange Act" shall mean the Securities Exchange Act of 1934, or any
           ------------
similar Federal statute, and the rules and regulations of the Commission
thereunder, all as the same shall be in effect at the time.

          "Market Price" shall mean, per share of Class A Common Stock that the
           ------------
holders of the Warrants shall be entitled to receive upon exercise thereof, on
any date specified herein, (a) the last sale price on such date of such Class A
Common Stock or, if no such sale takes place on such date, the average of the
closing bid and asked prices thereof on such date, in each case as officially
reported on the principal national securities exchange on which such Class A
Common Stock is then listed or admitted to trading, or (b) if such Class A
Common Stock is not then listed or admitted to trading on any national
securities exchange but is designated as a national market system security by
the National Association of Securities Dealers, Inc., the last trading price of
such Class A Common Stock on such date, or (c) if there shall have been no
trading on such date or if such Class A Common Stock is not so designated, the
average of the reported closing bid and asked prices of such Class A Common
Stock on such date as shown by NASDAQ and reported by any member firm of the New
York Stock Exchange selected by the Company, or (d) if neither (a), (b) nor (c)
is applicable, a price per share thereof equal to the fair value thereof
determined in good faith by a resolution of the Board of Directors of the
Company as of a date which is within 15 days of the date as of which the
determination is to be made.

          "Original Issue Date" shall have the meaning set forth in Section
           -------------------
2.1(b).

          "Other Securities" shall mean any stock (other than Class A Common
           ----------------
Stock) and other securities of the Company or any other Person (corporate or
otherwise) that the holders of the Warrants at any time shall be entitled to
receive, or shall have received, upon the exercise of the Warrants, in lieu of
or in addition to Class A Common Stock, or that at any time shall be issuable or
shall have been issued in exchange for or in replacement of Class A Common Stock
or Other Securities pursuant to Section 2 or otherwise.

          "Person" shall mean a corporation, an association, a partnership, an
           ------
organization or business, an individual, a government or political subdivision
thereof or a governmental agency.

                                      -7-
<PAGE>

          "Restricted Securities" shall mean (a) any Warrants bearing the
           ---------------------
applicable legend set forth in Section 5.1, (b) any shares of Class A Common
Stock (or Other Securities) issued upon the exercise of Warrants which are
evidenced by a certificate or certificates bearing the applicable legend set
forth in such Section and (c) any shares of Class A Common Stock (or Other
Securities) issued subsequent to the exercise of any of the Warrants as a
dividend or other distribution with respect to, or resulting from a subdivision
of the outstanding shares of Class A Common Stock (or Other Securities) into a
greater number of shares by reclassification, stock splits or otherwise, or in
exchange for or in replacement of the Class A Common Stock (or Other Securities)
issued upon such exercise, which are evidenced by a certificate or certificates
bearing the applicable legend set forth in such section.

          "Securities Act" shall mean the Securities Act of 1933, or any
           --------------
similar federal statute, and the rules and regulations of the Commission
thereunder, all as the same shall be in effect at the time.

          "Warrants" shall have the meaning specified in the opening paragraphs
           --------
of this Warrant.

          "Warrant Price" shall have the meaning specified in Section 2.1(c).
           -------------

          9.   Remedies. The Company stipulates that the remedies at law of the
               --------
holder of this Warrant in the event of any default or threatened default by the
Company in the performance of or compliance with any of the terms of this
Warrant are not and will not be adequate, and that, to the extent permitted by
applicable law, such terms may be specifically enforced by a decree for the
specific performance of any agreement contained herein or by an injunction
against a violation of any of the terms hereof or otherwise.

          10.   No Rights or Liabilities as Stockholder. Nothing contained in
                ---------------------------------------
this Warrant shall be construed as conferring upon the holder hereof any rights
as a shareholder of the Company or as imposing any obligation on such holder to
purchase any securities or as imposing any liabilities on such holder as a
shareholder of the Company, whether such obligation or liabilities are asserted
by the Company or by creditors of the Company.

          11.   Notices. All notices and other communications provided for
                -------
herein shall be delivered or mailed by first class mail, postage prepaid,
addressed (a) if to any holder of any Warrant, at the registered address of such
holder as set forth in the register kept by the Company, or (b) if to the
Company, at its principal office, 1325 Tri-State Parkway, Gurnee, Illinois
60031, or at the address of such other principal office of the Company as the
Company shall have furnished to each holder of any Warrants in writing, with a
copy to Jones, Day, Reavis & Pogue, 77 West Wacker Drive, Chicago, Illinois
60601; provided, however, that the exercise of any Warrant shall be effective in
       --------  -------
the manner provided in Section 1.

          12.   Miscellaneous. This Warrant and any term hereof may be changed,
                --------------
waived, discharged or terminated only by an instrument in writing signed by the
party against which enforcement of such change, waiver, discharge or termination
is sought. Any waiver, amendment or other modification hereof shall be binding
on any subsequent holder without any further action by the Company. Any
provision of this Warrant that shall be prohibited or unenforceable in any
jurisdiction shall, as to such jurisdiction, be ineffective to the extent of
such prohibition or

                                      -8-
<PAGE>

unenforceability without invalidating the remaining provisions hereof, and any
such prohibition or unenforceability in any jurisdiction shall not invalidate or
render unenforceable such provision in any other jurisdiction. To the extent
permitted by applicable law, the Company waives any provision of law that shall
render any provision hereof prohibited or unenforceable in any respect. This
Warrant shall be governed by the substantive laws of the State of Delaware
without reference to the choice of law rules thereof. The headings of this
Warrant are inserted for convenience only and shall not be deemed to constitute
a part hereof.

     13.  Expiration. Subject to the provisions in Section 1.1 hereof, the
          ----------
right to exercise this Warrant shall expire at 5:00 p.m., Eastern time, on     .


                                    AMERICASDOCTOR.COM INC.



                                    By: _________________________________
                                           Name:
                                           Title:

                                      -9-
<PAGE>

                             FORM OF SUBSCRIPTION
                             --------------------

                [To be executed only upon exercise of Warrant]


To AMERICASDOCTOR.COM, INC.

          The undersigned registered holder of the attached Warrant hereby
irrevocably exercises such Warrant for, and purchases thereunder,      /1/
shares of Class A Common Stock of AMERICASDOCTOR.COM, INC., and herewith makes
payment as follows (check as applicable): [_] certified or official bank check
in the amount of $_________; [_] wire transfer in the amount of $_________; or
[_] cancellation of _______ shares of Class A Common Stock otherwise issuable
under the Warrant. The undersigned requests that the certificates for such
shares be issued in the name of, and delivered to          , whose address is:

Dated:

                                  ______________________________________________
                                  (Signature must conform in all respects
                                  to name of holder as specified on the face
                                  of Warrant)


                                  ______________________________________________
                                  (Street Address)



                                  ______________________________________________
                                  (City)       (State)       (Zip Code)

________________

1.    Insert here the number of shares called for on the face of this Warrant
      (or in the case of a partial exercise, the portion thereof as to which
      this Warrant is being exercised), in either case without making any
      adjustment for additional Class A Common Stock or any other stock or other
      securities or property or cash which, pursuant to the adjustment
      provisions of this Warrant, may be delivered upon exercise. In the case of
      a partial exercise, a new Warrant or Warrants will be issued and
      delivered, representing the unexercised portion of the Warrant, to the
      holder surrendering the Warrant.